A Study of REGN7544 for the Treatment in Adult Patients with Sepsis-Induced Hypotension.

2024-514946-35-00 Protocol R7544-SIH-2435 Therapeutic exploratory (Phase II) Ended

Start 24 Jun 2025 · End 28 Apr 2026 · Status Ended · 1 EU/EEA countries · 13 sites · Protocol R7544-SIH-2435

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ended
Participants planned 76
Countries 1
Sites 13

Sepsis-Induced Hypotension

To evaluate the effect of REGN7544 on vasopressor requirements in participants with sepsis-induced hypotension.

Key facts

Sponsor
Regeneron Pharmaceuticals Inc.
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Cardiovascular Diseases [C14]
Trial duration
24 Jun 2025 → 28 Apr 2026
Decision date (initial)
2025-02-19
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No
Funding sources
Regeneron Pharmaceuticals

External identifiers

EU CT number
2024-514946-35-00
ClinicalTrials.gov
NCT06608901

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Pharmacokinetic, Pharmacodynamic, Efficacy, Others, Safety

To evaluate the effect of REGN7544 on vasopressor requirements in participants with sepsis-induced hypotension.

Secondary objectives 6

  1. To evaluate the safety and tolerability of REGN7544.
  2. To evaluate the acute effect of REGN7544 on blood pressure.
  3. To evaluate the effect of REGN7544 on resolution of shock.
  4. To evaluate the effect of REGN7544 on blood volume regulation.
  5. To evaluate the PK of REGN7544 following a single IV administration of REGN7544 in participants with sepsis-induced hypotension.
  6. To assess the immunogenicity of a single IV dose of REGN7544.

Conditions and MedDRA coding

Sepsis-Induced Hypotension

VersionLevelCodeTermSystem organ class
20.0 PT 10021097 Hypotension 100000004866
20.0 PT 10040047 Sepsis 100000004862

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 3

  1. Proven or suspected infection defined as administration or planned administration of antimicrobial therapy within the screening period.
  2. Sepsis-induced hypotension that has not responded to intravenous (IV) fluids, receiving 1 or 2 vasopressors and maintaining a Mean Arterial Pressure (MAP) of ≥ 65 mm Hg for at least 2 consecutive hours immediately prior to randomization, as defined in the protocol.
  3. Other protocol defined inclusion criteria apply.

Exclusion criteria 10

  1. Unable to obtain informed consent by participant or Legally Authorized Representative (LAR).
  2. Clinical status requires vasopressor and/or Blood Pressure (BP) management inconsistent with the study protocol
  3. Primary cause of hypotension suspected to be due to non-sepsis cause (eg, hemorrhage, burns, or cardiogenic shock), including shock after cardiac arrest.
  4. Ejection fraction <20% in the most recent known echocardiogram.
  5. Acute coronary syndrome based on clinical symptoms and/or electrocardiogram (ECG) during hospitalization.
  6. History of hospitalization due to heart failure, myocardial infarction, stroke, clinically significant ventricular arrhythmia, transient ischemic attack, or unstable angina within the preceding 3 months.
  7. Any prior diagnosis of severe pulmonary hypertension, as defined in the protocol.
  8. Receiving 3 or more vasopressors or exceeding the maximal combined dose as defined in the protocol, during the screening period or at the time of study drug administration.
  9. Received bone marrow transplant during the preceding 6 months or chemotherapy during the preceding 30 days for lymphoma or leukemia.
  10. Other protocol-defined exclusion criteria apply.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Cumulative vasopressor dose.

Secondary endpoints 10

  1. Occurrence of Common Terminology Criteria for Adverse Events (CTCAE) grade 3 and higher Treatment-Emergent Adverse Events (TEAEs).
  2. Time-weighted average mean arterial pressure (MAP).
  3. Change in MAP.
  4. Proportion of surviving participants free of vasopressor(s).
  5. Cumulative net fluid balance.
  6. Cumulative urine output.
  7. Cumulative fluid intake.
  8. Concentrations of REGN7544 in serum.
  9. Incidence of anti-drug antibodies (ADA) to REGN7544.
  10. Magnitude of ADA to REGN7544.

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

REGN7544

PRD11526670 · Product

Active substance
REGN7544
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRAVENIOUS INFUSION
Max daily dose
00 mg milligram(s)
Max total dose
00 mg milligram(s)
Max treatment duration
1 Day(s)
Authorisation status
Not Authorised
MA holder
REGENERON PHARMACEUTICALS, INC.
Paediatric formulation
No
Orphan designation
No

Placebo 1

REGN7544 Matching Placebo

N/A · Product

Other product name
N/A
Pharmaceutical form
N/A
ATC code
N/A — N/A
Marketing authorisation
N/A
MA holder
N/A
MA country
Iceland
Paediatric formulation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Regeneron Pharmaceuticals Inc.

Sponsor organisation
Regeneron Pharmaceuticals Inc.
Address
777 Old Saw Mill River Road
City
Tarrytown
Postcode
10591-6717
Country
United States

Scientific contact point

Organisation
Regeneron Pharmaceuticals Inc.
Contact name
Medical Affairs

Public contact point

Organisation
Regeneron Pharmaceuticals Inc.
Contact name
Medical Affairs

Third parties 8

OrganisationCity, countryDuties
Clariness GmbH
ORG-100045306
Hamburg, Germany Other
Icon Clinical Research Limited
ORG-100008322
Dublin 18, Ireland Other
Perceptive Informatics Inc.
ORG-100013171
Billerica, United States Other
Icon Laboratory Services Inc.
ORG-100037135
Farmingdale, United States Other
SanaClis s.r.o.
ORG-100033651
Ruzinov, Slovakia Other
Sharp Clinical Services (UK) Limited
ORG-100011789
Tredegar, United Kingdom Other
Eresearchtechnology Inc.
ORG-100013039
Philadelphia, United States Other
WCG Clinical Inc.
ORG-100040730
Princeton, United States Other

Locations

1 EU/EEA country · 13 investigational sites

By country

CountryMS statusPlanned subjectsSites
France Ended 31 13
Rest of world
United States, United Kingdom
45

Investigational sites

France

13 sites · Ended
Les Hopitaux Universitaires De Strasbourg
Intensive Care Department, 1 Place De L Hopital, Cs 80426, Strasbourg Cedex
Centre Hospitalier Regional Universitaire De Tours
Intensive Care Department, 2 Boulevard Tonnelle, 37044, Tours Cedex 9
Assistance Publique Hopitaux De Paris
Intensive Care Department, 78 Rue Du General Leclerc, 94270, Le Kremlin-Bicetre
Assistance Publique Hopitaux De Paris
Medical Intensive Care Unit, 27 Rue Du Faubourg Saint Jacques, 75014, Paris
Assistance Publique Hopitaux De Paris
Medical Intensive Care Unit, 104 Boulevard Raymond Poincare, 92380, Garches
Centre Hospitalier Departemental Vendee
Intensive Care Department, Boulevard Stephane Moreau, 85925, La Roche Sur Yon Cedex 9
Centre Hospitalier Universitaire D Orleans
Medical Intensive Care Unit, 14 Avenue De L Hopital, Cs 86709, Orleans Cedex 2
Hopital Nord Franche Comte
Intensive Care Department, 100 Route De Moval, 90400, Trevenans
Centre Hospitalier Universitaire D'Angers
Medical Intensive Care Unit, 4 Rue Larrey, 49100, Angers
Centre Hospitalier Et Universitaire De Limoges
Medical Intensive Care Unit, 2 Avenue Martin Luther King, 87000, Limoges
Centre Hospitalier Le Mans
Medical-Surgical Intensive Care Department, 194 Avenue Rubillard, 72037, Le Mans Cedex 9
Centre Hospitalier Universitaire Reims
Medical Intensive Care Unit, Rue Du General Koenig, 51092, Reims Cedex
Centre Hospitalier Universitaire De Nantes
Intensive Care Department, 30 Boulevard Jean Monnet, 44000, Nantes

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
France 2025-06-24 2026-04-21 2025-06-24 2026-01-29

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 11 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol_2024-514946-35-00_Redacted AM2
Recruitment arrangements (for publication) K1_R7544-SIH-2435_Recruit-ICF process_FP 1.1
Recruitment arrangements (for publication) K2_R7544-SIH-2435_Recruitment material_Statement_FP 1.0
Recruitment arrangements (for publication) K2_R7544-SIH-2435_Recruitment material_Study Brochure_FP 2.0
Subject information and informed consent form (for publication) L1_R7544-SIH-2435_SIS-ICF_Main_en_FP 3.0
Subject information and informed consent form (for publication) L1_R7544-SIH-2435_SIS-ICF_Main_fr_FP 3.0
Subject information and informed consent form (for publication) L1_R7544-SIH-2435_SIS-ICF_PP_FP 2.0
Synopsis of the protocol (for publication) D1_Protocol Synopsis_2024-514946-35-00 3
Synopsis of the protocol (for publication) D1_Protocol Synopsis_2024-514946-35-00 Track changes 1
Synopsis of the protocol (for publication) D1_Protocol Synopsis_FR_2024-514946-35-00 3
Synopsis of the protocol (for publication) D1_Protocol Synopsis_FR_2024-514946-35-00 Track changes 1

Application history

4 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-10-28 France Acceptable
2025-02-18
2025-02-19
2 SUBSTANTIAL MODIFICATION SM-1 2025-04-16 France Acceptable 2025-06-04
3 SUBSTANTIAL MODIFICATION SM-2 2025-09-05 France Acceptable
2025-10-24
2025-10-24
4 SUBSTANTIAL MODIFICATION SM-3 2026-01-07 France Acceptable
2026-02-13
2026-02-18